Permit CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: ELC2013 00434
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2013
Parcel: 1 S134AB03000
Jurisdiction: Tigard
Site address: 11305 SW IRONWOOD LP
Project: Woodell Subdivision: ENGLEWOOD Lot: 87
Project Description: (5) branch circuits for heat pump, furnace, outdoor receptacles and bath receptacles.
Contractor: ELECTRICAL CONNECTIONS LLC Owner: WOODELL, SARAH K & AARON G
PO BOX 875 11305 SW IRONWOOD LOOP
NEWBERG, OR 97132 TIGARD, OR 97223
PHONE: 503 - 538 -8033 PHONE:
FAX:
FEES
Quantity Description Date Amount
5 crt Branch Circuits wo /Purchase 07/25/2013 $85.86
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/25/2013 $10.30
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $96.16
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTIO . •re, • law r= quires you to follow the rules adopted by the Oregon Utility N. 1 enter. Those rules are set forth in OAR
952- 001 -0010 rough OAR 952 ! : r I • . You may obtain a copy of the rules or direct questions to OUNC b cal ' *' .1987 or 1.800.332.2344.
/ •
Issued By: ; � ! ��' �� i � / _ Permittee Signat i i'_ ri��
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' �7/ / Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Jul 24 2013 1:51PM H FIIRIECIE/VFD 5035380978 / • 2
Electrical Permit Application FOR OH- ICE I 1 .,F. ON1..)
JUL 2 4 20":i
fa .1 -eV
City of Tigard R Datei j a ved , 7 Ltnrll
„
II 13125 SW Hall Blvd., Tigard, OR 9722 iITY OF TIGARD Plan Review e4e
' II Phone: 503.718.2439 Fax: 503.598. Date : .: Other Permit; life...go/ 5 -ot, 509—
Inspection Line: 503.639.4175 !LONG DIVIR
Date Ready:By: hats: el See Page 2 for
TIGA lin
Internet www.tigard-or.gov Notified/Method: Supplemental information
. .,. .., . .
ii .7 .:;:.!.,;-:,,-.;;;, 01 REVIEW
0 New construction 0 Addition/alteration/replacement Please check all that apply (subruit 2 sets of plans wlitems checked below):
0 Service or feeder 400 amps or more 0 Building over three stones
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
,1:;: :.• OK .10',Agi :.::,:, '.:: exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-ow agricultural
(3 1- and 2-family dwelling 0 Commercial/industrial D Accessory building amps for all other installations_ buildings_
p Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of ISO KVA or
. - 0 Emergency system. larger separately derived system.
J01 :r 'Miti".'1100 1 040 161 ' 4,-,z iii*Ut , A 4 ti iii-4.-., . : A '' _ ::::- . ":,,1• :. - a '4,' I ':'
,..,' ', ['Addition of new motor load of
Job no.:
tr,\11 Job site address: //30 5— 100HP or more.
, /
s .1.- '
-
' 0 Six or more residential 0 Health-care facilites 'mil'.
0 Hazardous locations. occupancy.
0 Recreational vehicle parks.
City/State/ZIP: 7 e-YR ' 722.3
0 Supply voltage for more than
600 volts nominal.
Suite/bldg./apt. no.: f l I Project name: El Service cm feeder 600 amps or more.
,
Cross street/directions to job site: Description I Qty. I F. I Total I • .
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 168.54 4
Ea. arld'I 500 so. ft. or portion 33.92
Tax map/parcel no.: Limited energy, residential 75.00 2
.' '.::.' i: • . • .';'' '.::.:,':' IjoksdijiMowfOr:VVOLOK „:,,.... , ,-. • ,..:- : .! . : i .i . : . : ::::, ..: (with above sq. n)
' Limited energy, multi-famay 75 00 2
"R4 &Nig e cif- Alt 4 444. , yri ,,, cii-eiii' o ed.,' residential with above .. ft.
r i , j, c • Renewable Energy ID See Page 2
P
4 dm
er r r , 44.4 ebe oragib e.... . . Services or feeders installation. alteration and/or relocation
e
. . .. =I 1C■0 70 Ell
201 a mps to 400 amps 133.56 2
Name: -4a-rept &eiec 1 e// 401 amps to 600 amps 200.34 2
Address: • 601 amps to 1,000 amps 301 04. 2
Over 1,000 amps or volts 552 26 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) . relocation
200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.03 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits - new, alteration, or extension, .. r panel
0' NiP1,16bit...-:,:: ,:.:.,,-, .-,:,: A, Fee for branch circuits with
above service or feeder tee. 7.42 2
Business name: each branch circuit
B. Fee for branch circuits without
Contact name: service or feeder fee, first
/ 56.18 -.6 / 2
branch circuit
Address: Each add'l branch circuit ..5f 2 , 2
Miscellaneous (service or feeder it included)
City/Statezip: Each manufactured or modular 67.84 2
Phone: ( ) I Fax : • ( ) dwellin:. service and/or feeder - -
Reconnect only 111 67.84 2
E-mail: , Pump or irrigation circle 67.84 2
- . z - • 'V' : ' ',,:),. ' . •' : ' . : ....03nRoicrou... Sign or outline lighting 1111 67.84 El
it Signal eircuit(s) or limited-energy See
Business name:lgeli 4 , / p ae ,I. cos L L c_
.. panel, alteration, or extension Page 2 2
Address: 770 7 3 C9X 8'7.5 Each additional inspection over allowable in any of the above
Additional inspection (1 hr min) 66.25/ hr
% I
City/State/ZIP: „i,../ e i R 97/ 3 2___
Investigation (1 hr min) 1111 66.25/ hr El
Phone: (52;3 .573 g- &.o3. I Fax: ( ....--)._ Industrial plant (I hr min) 1111 78.18/ hr .
1nspecuons for which no fee is
CCB Lic.: /4/92. Electrical Lic.:36- e ze, Suprv. Lie.: /ST specifically listed (ii hr min) 90.00/ hr
. . .12 :. ,..:. PERMIT : FEES : .
Suprv. Electrician signature, required: ' ' , A r i r r ;4 11 P r a 1111=
sv--- Subtotal: , y_.6- . ,
Print name: j ai ( 2 .. e - Z. Ze) kc -- " d t ee4fri l e , r - s • Date: 7 91, Agg Plan review (25% of pemiit fee): ....--
State surcharge.(12% of permit fee): e : ..-
Authorized signature: . , ,,,, ti„,—: atiodir, Date: 7 TOTAL PERMIT FEE: "''
i e 5
• / 03 This permit application expires it a permit is not obtained within 1PO
Print name: . ,,,,q a , r 1 e ,,,)
days after it has been accepted as complete 14/
• Nurif:ler of inspections allowed per permit.
1:113uilding Wenn its \ELC_PerrnitApp_ELR_ERE dot Rev 05/21/2013 440-46151111/05/CO WWEB